Wee Care Christian Preschool

Student Application 2022-2023

Please mail this application and $20 registration fee to PO Box 249, Clymer, NY 14724 cc: Wee Care or place in the blue lock box down the steps near preschool room doors, preferably by July 1st for all students (including half year students).

The application will be dated when received; class preference is first-come first-served.

Applicant Information

Child’s Name:           

First        Middle        Last

Name you would like your child to learn to print:          

Date of Birth:         /         /          

Note: Children must be three years old by September 1st to begin preschool in September. Children who turn three years old between September 2nd – December 31st are able to begin in January for the second half of preschool. Children must be toilet trained before the start of school.

Parent Information

Siblings

Name:        Age:        Name:        Age:           

Name:        Age:        Name:        Age:            Name:        Age:        Name:        Age:           

Medical/General Health Information

Child’s Physician:        Phone #:           

Allergies:         Physical Limitations:           

Class Information 

         I prefer to have my child attend the Tuesday/Thursday morning class (9:00 – 11:30 AM).

         I prefer to have my child attend the Tuesday/Thursday afternoon class (12:30 – 3:00 PM).

          No class preference.

If interested, please answer the following: (Child must be 4 years by December 1st.)

           I would also like my child to attend the Friday Kindergarten preparation class.

This class is designed to target more specifically the needs of the pre-kindergartener. (Time will depend on the need of student majority.)

I would prefer that the Kindergarten preparation class be held in the         AM         PM.

Note: The application will be dated when received; class preference is first-come first-served.

Tuition 2022-2023

*A $50 tuition discount is offered if the preschool session is prepaid in full by September 30th (or $25 tuition discount if paid by January 31st for students only attending the second half).

Tuition payments are due the first of each month and if payments are not received by the 10th of each month a $10/month late fee will be added. Questionable due dates because of holiday breaks will be clarified upon release of the upcoming Clymer Central School 2022-2023 year calendar.

Financial scholarships are available upon request and eligibility. Please mail any inquiries to: Treasurer/Wee Care Christian Preschool

PO Box 249

Clymer, NY 14724

Note: A non-refundable registration fee of $20 is due with application.

Parent/Guardian:        Date:           

            Contact Person Responsible for Tuition Payments:_________________________________________

Please mail this application and $20 registration fee to PO Box 249 Clymer, NY 14724 cc: Wee Care or place in the blue lock box down the steps near preschool room doors preferably by July 1st for all students (including half year students). The application will be dated when received and you will receive a postcard to indicate your child has been added to the class list; class preference is first-come first-served. Call if you do not receive your postcard to verify your application was received!

Thank you!

Michelle

                        WeeCare Preschool Director/Teacher

Wee Care Christian Preschool

Emergency Contact Information 2022-2023        

I         , the parent of                                                                              am putting him/her into the care and custody of the Wee Care Christian Preschool at the Abbe Reformed Church in Clymer, NY and not any individual employee associated with the program.

Hold Harmless Clause

For valuable consideration, the receipt of which is acknowledged, and intending to be legally bound and to the fullest extent permitted by law, we agree to indemnify and hold harmless the Abbe Reformed Church, its consistory, its pastors, the Wee Care Christian Preschool, the Preschool Board, its teachers or its assistants, against any and all claims, demands, suits or loss, including costs or attorney fees, for any damages which may be asserted, claimed, recovered or demanded, from Abbe Reformed Church, its consistory, its pastors, the Wee Care Christian Preschool, the Preschool Board, its teachers, or its assistants, by reason of personal injury, including bodily injury or death, or property damage including any type of loss, which arises or is connected with any of our children attending preschool or participating in any activity at the Wee Care Christian Preschool at any location, and at any time.

In the event of an accident, I give my permission for the preschool personnel to seek emergency medical treatment or take my child to a doctor or emergency room at the nearest hospital. I expect to be notified as soon as possible.

Parent/Guardian:        Date:           

Release Contacts

Your child will only be released to the parent/guardian and the adults listed below.

Name:        Phone number:         _ Name:        Phone number:                   

Name:        Phone number:           

Emergency Contacts

If you are unable to be reached in an emergency, we will contact one of the following people. Name:         Phone number:          

Name:           Phone number:             

Name:           Phone number:             

Parent/Guardian:        Date:           

Wee Care Christian Preschool

Medical Record 2022-2023

Please have this medical record completed and signed by your child’s Physician. Return to Wee Care Christian Preschool by the end of child’s first week of school. Thank you!

Child’s Name:           

First        Middle        Last

Date of Birth:         /         /          

Immunization Record

Physician:        Date: